HomeMy WebLinkAbout1997-008748 - replace softner t
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 eLuNQING
Permit Number: i V7.=/4 7
Crystal Bay, Miniesota 55323 Date Issued: C)2/1 1 /'
(612) 473-7357 i
SITE ADDRESS:
43S OLD CRYSTAL BAY RD
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P. I . tit. : 04-1 • 7_.:::': ' „;1-ot))', ` $
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DESCRIPTION: >,
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F E PI ACE. SOF1 4EF T
Plu',Ibinq Permit Type FIXTURES
`'1u'Cfb nq Work Type REPLACE EXISTING
1 WATER SOFTNER
REMARKS:
FEE SUMMARY:
VALUATION $650
Base Fee i $35 . 00 MAIL I N 3 50
Surcharge 1 1-:!:710 Total Fee $37 .00
Subtotal $35 . 50
1
CONTRACTOR: - Apr'i i C nIt. - OWNER:
CUSTOM PLUMB I NO, INC . • 4 t) 1.47 ;;:REU ER KURT
P . 01. lr,I_ik (=,' 4 :i:=:S f L i CRYSTAL TAI BAY RD
LONG LAKE MN ?x.5:_;5 , ORONO MN 55356
(612) 4.9-01.47 (612)475-1179
THE UNDER_ UNED HER'EEE�REQUESTS PERMISSION TO MAKE THE R IIMPROVEMENTS
SPECIFIED ND AGREES DO ALL WORK IN STRICT O PL I N E I;T ,ALL >L ITY DF
ORONO RDI ANCES AND S TATE OF MINNESOTA SU I LD I NG-, CODE REQUIREMENTS; .
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find, 4 C51.4C >
APPLICANT/PERMITEE SIGNATUR, ISSUED BY:SIGNATURE
,
PEC `/�
C1T�Y OF ORONO,' APPLICATION FORF!JMBIIVtS�YERMIT
Box'66 (2750 Kelle Parkway) , 1
Cry' al Bay, MN •323 Clr),Op
199,
G ° • INFORMA 1 ON
1. You may apply 1•r plumbing permits by mail or in person at the City offices.
2. Permit cards w be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU :CEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON r E JOB SITE.
3. Plumbing permi+-may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling. ::
4. When any new «instruction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be', i spected and air tested before it is covered. Call 473-7357. 24-hour notice required.
0 Inst ctions Compl-6- all items on this application. Compute the permit fee. Sign and date
co the ce ification. INC i MPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
a u) ins, call 473-73 7.
al�; 0 questions,4
E"2 IU ® m Please,check one: ,, New Addition Repair Replace
a.is °D ui I,. X Residential Commercial
,n ® x
t" J JOB `:ITE LI 5 O M Ctys1'a.I �� Q oad Zip:
v o Owne ,'s Name: k t t `� e.+.rt'e,,c l'elephoneNumber: Li 75 - 11"71
...i MailinI Address: ' City: Zip:
Contr tor'sName: 1 TelephoneNumber: L{K -0,'1 7
Mailin :Address: I City: Zip: •
PLUMBING FIXTURE SCHEDULE
FIXTU'''.B BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water a oset Floor Drains
Lavato i Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen ink Water Heater
Disposal er Softener
Dishw:Ls, r Wet Bar
Sillcocks Misc (list)
07 46
cry
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($3/5.00)
650 -OO x .0125 $ �j
(contract.pricey
2. Static Surcharge.}**Add the State Building Code Division
Surcharge to each permit. x .0005 $ .- S 0
(contract price)
or $ 50, whichever; is greater
3.
Postage and Handling, (Only mail is -applications) ` $ 1,50
4: `` TOTAL P MIT FEE (Add lines 1-3 above) $ 3 7.
'CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including.materials, labor, profit, and other fixed costs. It is the amount to be.charged to the
custpmierfor-the:workdoane. If any material, equipment, labor,or installation are Burnished by the owner,
• tenant or 2°Y,other party the reasonable:market value of such items must be added to the estimated cost
or Contract price for permit fee purpose:;<<In the event that there is a dispute on the amount of the job cost,
the City way request.the submission.of a sued copy of the actual contract.
** The STATE $114...----- ItGE is 0005 °I'the contract price under $1,000,000 or: $,50 - whichever'is
greater; 'For vaivattons,ovei:%1,OO'OOC call,tile Delaartmetit'of.Inspectional Services for the Brice;
'bio undexsig ecl hereby applies to the City fore issuance of a Plumbing Permit, agrees to do all
w to s--.-ttiraccordance •with the ordinances of the City and the regulations of.the State of
Minnesota, and cejtiftes that all Statements made on this application are complete, true'and
Applicants signature: Date: 2